| NPI | 1497130124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 1059) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2018-05-08 |